视觉-运动整合能力测验应用于听力残障儿童的筛查 大规模使用的可行性(英文)  

Visual-motor integration test for screening hearing handicap in children: feasibility of large-scale application

作　　者：罗国刚[1] 韩蓁[2] 李公正[3] 赵天寿 刘灵[5] 

机构地区：[1]西安交通大学医学院第一附属医院神经内科 [2]西安交通大学医学院第一附属医院妇产科 [3]西安交通大学医学院第二附属医院医学心理科 [4]陕西省第一聋哑学校 [5]西安交通大学医学院第二附属医院脑电图室,陕西省西安市710061

出　　处：《中国临床康复》2005年第24期234-237,共4页Chinese Journal of Clinical Rehabilitation

摘　　要：背景:视觉-运动整合发育测验设计于20世纪70年代,90年代引入国内,因不受语言、文化背景限制而广泛常规性用于评估、识别正常儿童的智能发育和学习行为等问题。目的:分析视觉-运动整合能力发育测验在听力残疾儿童中的应用价值,探讨大规模用于聋童智能筛查的可行性。其信度效度值与陕西省和美国正常儿童常模比较。设计:随机整群抽样方法,相关对照分析和多元逐步回归。单位:西安交通大学医学院第一附属医院神经内科。对象:选择1998-01/2000-12西安市、咸阳市、长安县、户县、临潼县6所聋哑学校中18岁以下身体健康、发育正常、除听力残疾外无任何其他疾病的学生638人。另随机选取聋童43人进行脑电地形图检测。男23人,女20人。年龄(11.62±1.98)岁,视觉-运动整合发育测验发育商为86.60±15.68,以平均值86.6为界线分为<86.6组20人及≥86.6组23人。方法:①视觉-运动整合发育测验按照Beery K.E 最新修订第4版要求进行不限时测验,1图记1分,连续3图不通过时停止记分,原始分最高27分,最低0分。②信度检验包括分半(把测验项目按奇偶数分半)重测(2个月后再测)及两测验者间信度(同一测试,两人单独评分)。③效度检验以希内学习能力测验、韦氏儿童智能操作量表、瑞文联合型测验为结构效标;以学习成绩、教师、家长评价为准则关联效标。均由专业人员严格按指导语进行。对有阅读能力者直接测试,年龄小无阅读能力的,由班主任用手语翻译测验内容,至完全理解后正式施测记分。④使用7314/F /W 型DYD-300A 脑电地形图机,国际标准10/20系统放置电极。常规描记两组盲童脑电图30m in 作视觉分析。取单极导联下安静闭眼时,无任何干扰或伪差的代表性脑电图波120s存入计算机,分析时由经验丰富的脑电图医师通过人机对话方式选取20s最具代表意义的脑电波计算脑电绝�BACKGROUND： Visual-motor integration （VM1） test was introduced into China in the 1970s and 1990s and widely used for evaluation and identification of problems in intellectual development and learning ability in children due to its good applicability without limitations by language and cultural background. OBJECTIVE： To assess the value of developmental test of VMI in children with hearing handicap, and evaluate its practical feasibility in largescale screening of intelligence problems in these children by comparing its reliability and validity with the norms of children in Shaanxi Province and the USA. DESIGN： A controlled correlation and multiple stepwise regression analysis with randomized eluster sampling. SETTING： Neurological Department of the First Hospital Affiliated to Medical College of Xi＇an Jiaotong University. PARTICIPANTS： From January 1998 to December 2000, 638 children under 18 years of age with hearing handicaps were chosen from 6 schools of dell-mutes in Xi＇an City, Xianyang City, Chang＇an County, Huxian County, and Lintong County in Shaanxi Province. Another 43 children with hearing handicap including 23 male and 20 female children aged （11.62±1.98） years were. selected randomly for EEG and brain electrical activity mapping （BEAM） examination, who had a mean development quotient of VMI of 86.60±15.68. The children were divided by the development quotient into two groups, namely those with development quotient 〈 86.6 （n=20） and those with development quotient ≥ 86.6 （n=23）. METHODS： ①The VMI test was performed in accordance with the Fourth edition of VM1 Manual by Beery K.E. The test was terminated when the testee failed to correctly copy three consecutive geometrical figures without time limit. The scale score varied from 0 to 27. ②The reliability test included split-half reliability test in which the items were split into two parts according to odd-even number, re-test reliability that tested the same group of children again in two months and inte

关 键 词：神经心理学测验 认知不协调 听力障碍/聋 脑电描记术 β节律 Α节律 δ节律 Θ节律 视觉-运动整合发育 整合发育测验 

分 类 号：R749.940.4[医药卫生—神经病学与精神病学] R179[医药卫生—临床医学]